MEDICARE: PEOPLES HOSPICE AND PALLIATIVE CARE OF NW FLORIDA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1487462776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLES HOSPICE AND PALLIATIVE CARE OF NW FLORIDA LLC

Provider Business Mailing Address
First Line	:	213 E WRIGHT ST STE B
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32501-4917
Country	:	US
Telephone Number	:	850-696-0911
Fax Number	:	850-475-0690

Provider Business Practice Location Address
First Line	:	221 E 23RD ST STE F
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4557
Country	:	US
Telephone Number	:	850-696-0911
Fax Number	:

Authorized Official
Title or Position	:	VP-FINANCE
Name	:	MS. DEBORAH L MAZZOLA
Credential	:
Telephone Number	:	850-696-0911

Provider Enumeration Date	:	12/19/2024
Last Update Date	:	12/19/2024

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